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GR-I <br /> <br />NAM~ AND ADDRESS OF <br />ADMINISTERING AGI~CY <br /> <br /> STATE OF OHIO (Rev/zed I~13/9S) <br /> OFFICE OF THE GOVERNOR'S <br />HIGHWAY SAFETY REPRESENTATIVE (OGHSR) <br />PUBLIC SAFETY PROGRAM AGREEMENT <br /> <br />City of Lakewcod GR-1 Agreement # 01,~.0 <br />12650 Deu-oit Ave. Participant ID # 18011AD0 <br />Lak~wood, Ohio 4~I07 County Of Cultahoga <br /> Fed. Tax ID# 3~00163306 <br /> <br />FI~I~RAL PROGRAM ~ FEDERAL FUNDING OF TOTAL COST FEDERAL <br /> ALPHA % TOTAL STATE/LOCAL FEDERAL FUNI~ <br /> CODE FD SOURCE RATE COST SHARE SHARE AUTHORIZED <br /> <br />FEDERAL SHARE <br />TO LOCAL <br /> <br />96 FTE F 402 , 100~ $17,380.00 $0.00 S17,380.00 $17,380.00 $17,380.00 <br /> <br />ALL SIGNATURES INDICATE AGREEMENT WITH THE PROPOSED SCOPE OF WORK AS STATED IN THE PROPOSAL <br />AND/OR AS AMENDED (IF APPLICABLE) IN THIS AGREEMENT. <br /> <br />I~is a~reed by the undersigned that this agreement is subjcc~ ~o all S~ate and Federal r~gulations governing/rants and to thc terms and <br />conditions s~t forth in the signed proposal and in this agz~-~nent, including each aUach~i GR-IA fon~. The only a~tiv/ty c~sts eligible for <br />participation ate those incurred during the dates of the "approval and authorization ~o l:~Oceed period~ shown below. <br /> <br />N,42AE NAME <br /> <br />SIGNATURE SIGNATURE <br />PHONE PHONE <br /> <br />Az ALrTHORI2~G OFFI~ I will be responsible for implementation of tho activity and compliance with all terms and conditions of this <br />ageemcnt. I h~l~by designate the following Project Director as my liaison: <br /> <br />APPROVAL AND AUTHORIZATION TO PROCEED with this highway safety effcrt is hereby ~ranmi subject to the temps and conditions <br />set forth in the signed proposal, Public Law ~9-:~64 as amended, and conditions listed on each Ih'oject Information Form (GR-1A). <br /> <br /> AUTHORITI~D TO PROCEED DATE ~anuary 1, 1996 AG~ T~PdPfl~ATION DAT~ September 30, 1996 <br /> <br />ae~~:.~::~:~.:.:~:~:~i:~?~:~:~:~.~~:~~:~?~/~:~:.~:~T??:~:~:~:~:~:~.~ <br /> N~E ~gl~ D. Shipl~ N~E D~ B~s <br /> SIGNA~ ~ ~n~ <br /> ~O~ (614) ~3~0 <br /> <br /> <br />